I do. It screws over small medical practices as they continue to reduce reimbursement levels, something that Obamacare exacerbates and accelerates. There's been a lot of lip service paid to preventative care with the passage of Obamacare, but for all the politicians (and people who run HMOs) like to talk about preventative care, you can't convince me that there is any more important element in the process of preventing significant healthcare problems than spending adequate time with physicians. The longer you spent, the more seemingly insignificant details of your health you discuss, the more likely the doc is to catch your problem while it's a small problem and before it becomes expensive. With reimbursement rates where they are now the average length of a non-physical well-patient visit has gone from nearly half an hour 30 years ago to around 10 minutes now. No matter how much expensive testing we start doing, you can't avoid some things slipping through the cracks when docs are trying to rush patients in and out to make money on volume since per-patient profit margins have been dropping steadily for decades.